DR. SCOTT LEE BLUCK D.O.
NPI 1467644187
Family Medicine in La Mesa, CA

Q: What is Scott Bluck's NPI number?

The NPI number for Scott Bluck is 1467644187. It was assigned to this individual provider in the NPPES registry on August 16, 2007.

Q: What is Scott Bluck's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Bluck was last updated on December 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 16, 2007PECOS EnrolledAccepts Medicare Assignment

8010 PARKWAY DR, DEPT OF FAMILY MEDICINE, LA MESA, CA 91942(619) 528-6111 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Scott Lee Bluck D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SCOTT LEE BLUCK D.O. (NPI 1467644187) is an individual family medicine provider in La Mesa, California, licensed in California (20A9096) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1467644187

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SCOTT LEE BLUCKCredential: D.O.

Location Address8010 PARKWAY DR, DEPT OF FAMILY MEDICINELa Mesa, CA 91942-2104

Mailing Address855 Beech St, Apt 207San Diego, CA 92101-2885 · (619) 992-5446

Phone(619) 528-6111

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateAugust 16, 2007

Last NPPES UpdateDecember 1, 2021

NPPES CertifiedDecember 1, 2021

✔ NPI 1467644187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · 20A9096

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8010 PARKWAY DR, La Mesa, CA 91942

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Scott Lee Bluck D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092896548

PECOS Enrollment IDI20080122000808

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91942 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KRISTIN LEIGH PATRICK PHARM.D.

Pharmacist